Cue-Centered Therapy for Youth Experiencing Posttraumatic Symptoms: A Structured, Multimodal Intervention, Therapist Guide

Cue-Centered Therapy for Youth Experiencing Posttraumatic Symptoms: A Structured, Multimodal Intervention, Therapist Guide

Cue-Centered Therapy for Youth Experiencing Posttraumatic Symptoms: A Structured, Multimodal Intervention, Therapist Guide

Cue-Centered Therapy for Youth Experiencing Posttraumatic Symptoms: A Structured, Multimodal Intervention, Therapist Guide

Synopsis

Trauma can be defined as exposure to a shocking, distressing, or emotionally painful event that can result in negative mental and physical health effects. Due to its interference with development, childhood trauma is particularly detrimental and can result in symptoms including post-traumatic stress disorder, anxiety disorders, depression, dissociation, externalizing behavioral problems, and suicidal ideation. It can increase the risk of substance use, school disengagement, and academic difficulties, and it has been associated with attentional impairment, cognitive performance, and the development of self-regulation. Cue-Centered Therapy for Youth Experiencing Posttraumatic Symptoms presents a psychosocial treatment approach for children and adolescents who have been exposed to chronic traumatic experiences. Cue-Centered Therapy (CCT) derives its name from its focus on the conditioning process that results insensitivity towards trauma-related cues. CCT addresses four core domains: cognition, behavior, emotions, and physiology, through a combination of empirically supported and CCT-specific interventions. This structured and flexible Therapist Guide focuses on helping the youth develop insight into his/her own patterns of behaviors and emotions. Rather than having youth attempt to "unlearn" maladaptive responses conditioned to cues, CCT focuses on creating new connections and behavioral responses. The treatment manual offers guidelines on conducting each of the sessions while respecting the individual therapist's own strengths. Through the use of visual icons, forms, and figures, the manual facilitates teaching relevant lessons. The therapy reduces negative cognitions, allows for emotional expression, identifies and changes trauma-related responses, empowers with knowledge and skills, and strengthens the relationship between the caregiver and his/her child.

Excerpt

Background Information and Purpose of Cue-Centered Therapy

Cue-centered therapy (CCT) is appropriate for use with youths age 8 years or older who have been exposed to chronic traumatic experiences, who may continue to experience traumatic events during the course of treatment, or who are at risk of recurrence of trauma after treatment. Although CCT aims primarily to treat post-traumatic stress symptoms, associated symptoms of depression and anxiety are also addressed. cct may be used to treat a wide range of traumas, including physical and sexual abuse, the witnessing of violence, and experiencing natural or man-made disasters. CCT can be administered by mental health professionals in a variety of settings, such as outpatient clinics, community mental health centers, and schools.

Fundamental to the therapy described in this manual is the principle that trauma exposure can result in an interactive variety of cognitive, emotional, physiological, and behavioral symptoms. Re-exposure to traumatic reminders, or cues, can cause exacerbation of these symptoms. Through a combination of empirically supported interventions and CCT-specific interventions, CCT is designed to address the four core domains of cognition, emotion, physiology, and behavior.

CCT has several unique components that set it apart from other standard interventions. the child participates actively in every aspect of CCT treatment, whereas the therapist facilitates as a teacher and collaborator. Rather than receiving a passive, static intervention, the child propels session-to-session progress actively by identifying relevant cues . . .

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